THE PRESBYTERIAN HOSPITAL


Address: 301 Hawthorne Ln, Charlotte, NC 28204-2450
Phone: 7043841900

THE PRESBYTERIAN HOSPITAL (NPI# 1528467586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528467586
Entity Type Organization
Organization Name THE PRESBYTERIAN HOSPITAL
Other Organization Name ST JUDE AFFILIATE CLINIC AT NOVANT HEALTH HEMBY CHILDRENS HOSPITAL
Practice Address 301 Hawthorne Ln
Charlotte
NC 28204-2450
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7043841900
Practice Fax Number 7043841919
Mailing Telephone 7043847840
Enumeration Date 2014-08-15
Last Update Date 2015-07-08
Authorized Official Name MRS. AMY VANCE (SVP COO)
Authorized Official Telephone 7043841900
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0207X Pediatrics
Specialization: Pediatric Hematology-Oncology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
St Jude Affiliate Clinic at Novant Health Hemby Childrens Hospital Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1851909816 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 660, Charlotte, NC 28204-3215 2020-07-16
1346858487 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 560, Charlotte, NC 28204-3215 2020-07-15
1295343341 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 640, Charlotte, NC 28204-3215 2020-07-15
1750909032 The Presbyterian Hospital Emergency Medicine 125 Queens Rd Ste 500, Charlotte, NC 28204-3215 2020-07-13
1881212215 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 520, Charlotte, NC 28204-3215 2020-07-13
1720606486 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 400, Charlotte, NC 28204-3215 2020-07-09
1720606445 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 430, Charlotte, NC 28204-3215 2020-07-09
1235757352 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 420, Charlotte, NC 28204-3215 2020-07-07
1700385846 The Presbyterian Hospital Internal Medicine 1918 Randolph Rd Ste 820, Charlotte, NC 28207-1119 2018-02-05
1174989479 The Presbyterian Hospital Internal Medicine 14135 Ballantyne Corporate Pl Ste 200&160, Charlotte, NC 28277-3383 2016-01-04

Office Location

Street Address 301 HAWTHORNE LN
City CHARLOTTE
State NC
Zip Code 28204-2450

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649268160 Paulette C Bryant Pediatrics 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 2005-10-10
1811469885 Erik Rush Physician Assistant 301 Hawthorne Ln, Charlotte, NC 28204 2019-01-01
1598027617 Stephanie E Betters Nurse Practitioner 301 Hawthorne Ln, Suite 200, Charlotte, NC 28204-2450 2012-06-14
1043512734 Brian Christopher Regan Nurse Practitioner 301 Hawthorne Ln, Suite 200, Charlotte, NC 28204-2450 2010-12-01
1366776833 Courtney Huffman Saine Nurse Practitioner 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 2009-09-30
1689836306 Carissa Leigh Heibel Physician Assistant 301 Hawthorne Ln, Charlotte, NC 28204 2008-06-25
1578751012 Mary Barksdale Gee Nurse Practitioner 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 2007-10-10
1093921744 Jessica Bell Pediatrics 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 2007-05-16
1750439345 Christine M Bolen Pediatrics 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 2007-01-08
1225136120 Andria K Kokoszka Nurse Practitioner 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 2006-09-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285263582 Precise Home Care Service LLC In Home Supportive Care 1935 Baxter Street, Unit 101, Charlotte, NC 28204 2020-04-07
1285276253 Shannon Miller Counselor 1432 E Seventh Street, Charlotte, NC 28204 2019-10-11
1194282202 Madison Joann Mcgarrigle Behavior Technician 1401 East 7th Street, Charlotte, NC 28204 2019-02-25
1255802674 Stacey D. Alston, Dds, Pa Dentist 1020 E. 10th St., Suite 1, Charlotte, NC 28204 2018-12-11
1972082097 Kim Webb Talbert Nurse Practitioner Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 2018-08-09
1164910535 Jesse Elijah Roberts Counselor 1801 E 5th Street, #208, Charlotte, NC 28204 2018-05-01
1336696848 Eight Healthcare Exclusive Provider Organization 2455 Weddington Ave, 2110, Charlotte, NC 28204 2016-09-01
1225480551 Kathleen Quintana Bradley Physician Assistant 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 2016-07-11
1184049777 Della Franklin Speech-Language Pathologist 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 2014-02-19
1225459845 Healing Arts Medical, Pa Family Medicine 335 N. Caswell Rd., Charlotte, NC 28204 2013-12-27
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Taxonomy Information

Taxonomy Code 2080P0207X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Hematology-Oncology

Taxonomy Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457695454 Carolinas Medical Center Pediatrics 1001 Blythe Blvd, Ste 601a, Charlotte, NC 28203-5866 2012-11-15
1487940375 Erin Trovillion Pediatrics 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 2011-06-20
1003130055 Kristina Harrell Pediatrics 1350 S Kings Dr, Charlotte, NC 28207-2134 2010-03-19
1902084403 Michael Kent Pediatrics 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 2008-02-06
1407032469 Jeffrey Huo Pediatrics 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 2008-01-21
1922204718 David Gass Pediatrics 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 2007-06-27
1689881849 Philip Roehrs Pediatrics 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 2007-05-17
1093921744 Jessica Bell Pediatrics 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 2007-05-16
1821217605 Javier Oesterheld Pediatrics 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 2007-04-24
1306063128 Joel Kaplan Pediatrics 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 2007-04-20
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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